Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VE0102X | Reproductive Endocrinologist | IN |
NPI | 1518167030 |
---|---|
Provider Name | Tamra Basch |
First Address | Carmel, IN 46032-3008 |
Second Address | Carmel, IN 46032-3008 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/07/2007 |
Last Update Date | 23/07/2007 |